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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(3): 553-8. |
Soft Palate Measuring for Palatopharyngoplasty |
Jae Hoon Park, MD, Dong Yong Wang, MD, Joon Woo Park, MD, Won Il Kim, MD, Sang Duck Lee, MD, and Yong Bae Lee, MD |
Department of Otorhinolaryngology, Koryo General Hospital, Seoul, Korea |
성공적인 구개인두성형술을 위한 연구개 측정법 |
박재훈 · 왕동용 · 박준우 · 김원일 · 이상덕 · 이용배 |
고려병원 이비인후과 |
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ABSTRACT |
Palatopharyngoplasty is widely utilized for the treatment of snoring and obstructive sleep apnea. Treatment of the sleep apnea begins with the presurgical evaluation which includes nasopharyngoscope during Mueller maneuver, cephalometrics, polysomnography, multiple sleep latency test, computerized tomography(CT), magnetic resonance imaging(MRI). But the mechanism of snoring and obstructive sleep apnea has multiple complex causes. There were many difficulties in choosing the patients who would show successful postoperative results by surgery with these evaluation methods. From Nov. 1986 to Feb. 1992, authors performed the soft palate measuring in 74 snoring patients and 61 normal controls. The lengths of retromolar raphe and soft palate arch were measured and calculated the ratio of each other. The results were follows : 1) The mean ratios were 0.24(subjects-male), 0.24(subjects-female), 0.54(controls-male), 0.48(controls-female). 2) Symptom improvements noted 83.8%(62 cases) of snoring, 86.5%(64 cases) of sleep apnea and 71.5%(55 cases) of daytime sleepiness. We considered that soft palate measuring as a preoperative evaluation of palatopharyngoplasty was more effective and easier than any others.
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Keywords:
Soft palate measuringㆍPalatopharyngoplasty. |
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